Active NPI
Beniah Nwankwo, M.D
- Adolescent Medicine (Internal Medicine) Physician
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- MTL003608
- Practice address
- 8901 Rockville Pike
Bethesda, MD 20889-4320 - Phone
- (202) 368-5004
- NPI assigned
- Oct 18, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | MTL003608 | DC | Primary |
Addresses
Primary practice location
8901 Rockville Pike
Bethesda, MD 20889-4320
Mailing address
3300 Theodore R Hagans Dr NE
Washington, DC 20018-4320
Other practice location 1
3300 Theodore R Hagans Dr NE
Washington, DC 20018-4320
Phone (202) 368-5004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MTL003608 | DC | MD | Adolescent Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suburban Geriatrics, Inc. | Current | Accepting new patients |
Locations
190 W Germantown Pike
Ste 100
Norristown, PA 19401
Phone (610) 272-8221
824 Main St
Ste 200
Phoenixville, PA 19460
Phone (610) 359-8607
2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Plymouth Meeting, PA
- NPI 1679594808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1386970820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 THEODORE R HAGANS DR NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200184320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 ROCKVILLE PIKE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208894320",
"telephone_number": "202-368-5004"
}
],
"practiceLocations": [
{
"address_1": "3300 Theodore R Hagans Dr NE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200184320",
"country_code": "US",
"telephone_number": "202-368-5004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NWANKWO",
"first_name": "BENIAH",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "DC",
"license": "MTL003608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.